Developing public health provision for vulnerable young people.

Engaging vulnerable children and young people can be a challenge. This article reports on the development of a specialist school nurse service, known as Support Services Health Team, aimed at the most vulnerable children and young people in Hull. The aim was to provide public health support and coordinate healthcare to children and young people in the looked after system, those in pupil referrals units, home educated and those outside of the educational system (missing from education). This innovative approach to addressing the health needs of this population helped to establish firm networks across the city of Hull, reduce duplication of support being offered and avoid young people slipping through the systems. The team has a sound knowledge around health trends for young people, social groups and hotspots where they are at risk across the city. They have created a presence in the city where professionals and young people are aware of them and the service offered. Clear pathways have been established on intervention starting with the completion of a comprehensive health needs assessment and care plan. A creative approach to supervision has been established to ensure staff do not feel overwhelmed and that they are evidence-based in their approach to intervention and advice offered.